The impact of bio-psycho-social factors on mental health outcomes in patients with solid tumors.

IF 3.1 4区医学 Q3 ONCOLOGY

Tumori Pub Date : 2026-05-05 DOI:10.1177/03008916261442818

Raffaela D G Sartori, Davide Dalu, Davide De Francesco, Valentina Biscaldi, Maria Silvia Cona, Anna Gambaro, Sabrina Ferrario, Lorenzo Ruggieri, Virginio Filipazzi, Cinzia Fasola, Cristina Marrazzo, Nicla La Verde

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引用次数: 0

Abstract

Introduction: The old oncology approach, which considered the clinical and performance status as the most relevant diseases course and well-being indexes, has been recently replaced by a care system also focusing on a person's characteristics and needs. This study analyzed the role of physical symptoms, illness awareness, individual activities and social contexts on anxious/depressive symptoms and mental health in localized (LP) and advanced/metastatic (AMP) cancer patients.

Methods: Socio-demographic and medical information was gathered. The Revised Illness Perception Questionnaire, Hospital and Depression Anxiety Scale, and Mental Health Continuum Short-Form were administered.

Results: One hundred and thirteen patients, 75 LP and 38 AMP, aged 27-82, were enrolled. Unique patterns of difficulties and resources emerged at different stages of cancer. AMP reported a worse quality of life in perceived illness persistence and treatments control, anxious/depressive symptoms, and psychological well-being. In LP, higher levels of anxious/depressive symptoms were associated with lack of hobbies, and higher perceived illness control was linked to higher mental health. LP did not report higher well-being than AMP. No significant differences in flourishing persons distributions were detected among groups. A multivariable model showed that the independent presence of pain and partner influenced higher levels of mental health more in AMP than in LP.

Conclusion: Tailored intervention should enhance individuals' mental health and active resources mobilization.

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生物-心理-社会因素对实体瘤患者心理健康结局的影响

导论：将临床和表现状况作为最相关的疾病进程和福祉指标的旧肿瘤学方法，最近已被一种同样注重个人特征和需求的护理系统所取代。本研究分析了身体症状、疾病意识、个体活动和社会环境对局部（LP）和晚期/转移（AMP）癌症患者焦虑/抑郁症状和心理健康的影响。方法：收集社会人口统计学和医学资料。采用修订后的疾病认知问卷、医院与抑郁焦虑量表和心理健康连续量表。结果：纳入113例患者，75例LP， 38例AMP，年龄27-82岁。在癌症的不同阶段出现了独特的困难和资源模式。AMP报告在感知疾病持续性和治疗控制、焦虑/抑郁症状和心理健康方面的生活质量较差。在LP中，较高水平的焦虑/抑郁症状与缺乏爱好有关，而较高的感知疾病控制与较高的心理健康有关。LP组没有比AMP组报告更高的幸福感。各组之间的繁荣人群分布没有显著差异。一个多变量模型显示，疼痛和伴侣的独立存在对AMP患者心理健康水平的影响大于LP患者。结论：因地制宜的干预措施可以促进个体心理健康，积极调动资源。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Tumori 医学-肿瘤学

CiteScore

3.50

自引率

0.00%

发文量

审稿时长

6 months

期刊介绍： Tumori Journal covers all aspects of cancer science and clinical practice with a strong focus on prevention, translational medicine and clinically relevant reports. We invite the publication of randomized trials and reports on large, consecutive patient series that investigate the real impact of new techniques, drugs and devices inday-to-day clinical practice.